Significant strides in transition medicine have been made over the past two decades to better support adolescents and young adults (AYAs) with chronic medical conditions in navigating the shift from pediatric to adult care (White & Cooley, 2018). However, complexities remain, including challenges ensuring AYAs have adequate disease knowledge and self-management skills, reluctance breaking well-established pediatric patient-provider relationships, and difficulty finding adult providers (Callahan et al., 2001). The U.S. healthcare system continues to struggle with effectively supporting AYAs prior to and through this transition, resulting in prolonged gaps in and disengagement from medical care, suboptimal treatment adherence, reduced quality of life, increased emergency healthcare utilization, and poor health outcomes (Eaton et al., 2017; Hobart & Phan, 2019). While pediatric psychologists play several important roles in transitioning AYAs to adult healthcare (Gray et al., 2015), there are few empirically supported behavioral interventions for transition across chronic conditions (Hart et al., 2019), especially for AYAs with inflammatory bowel disease (IBD).

中文翻译：

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JPP 学生杂志俱乐部评论：为患有慢性病的青少年和年轻人推进过渡医学

在过去的二十年中，过渡医学取得了重大进展，以更好地支持患有慢性疾病的青少年和年轻人 (AYA)，从而实现从儿科到成人护理的转变（White & Cooley，2018 年）。然而，复杂性仍然存在，包括确保 AYA 拥有足够的疾病知识和自我管理技能的挑战、不愿破坏完善的儿科患者-提供者关系以及难以找到成人提供者（Callahan 等，2001）。在此过渡之前和过渡期间，美国医疗保健系统继续努力有效地支持 AYA，导致医疗保健长期存在差距和脱离、治疗依从性不佳、生活质量下降、紧急医疗保健利用率增加以及健康结果不佳（伊顿等等，2017 年；霍巴特和潘，2019 年）。虽然儿科心理学家在将 AYA 过渡到成人医疗保健方面发挥了几个重要作用（Gray 等人，2015），但很少有经验支持的行为干预措施可以跨慢性病过渡（Hart 等人，2019），尤其是对于患有炎症性肠病的 AYA (IBD)。